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Organization
SHAMILA LEATHERS MD INC
Active
Organization
SHAMILA LEATHERS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMILA LEATHERS MD (PRESIDENT)
(714) 347-1010
Entity
Organization
Contact information
Practice address
9920 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-7000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A120506
CA
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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